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Individual

MICHAEL JAY PASCUA DELA CRUZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1545 N HEATHER MEADOWS LOOP, ANCHORAGE, AK 99507-3866
(907) 360-5325
Mailing address
1545 N HEATHER MEADOWS LOOP, ANCHORAGE, AK 99507-3866

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
156972
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
236
DC
01
568946544
BCBS
01
5874
HEALTH PARTNERS
Enumeration date
04/06/2023
Last updated
04/06/2023
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